MEMPHIS SPINE AND REHAB CENTER, PLLC (NPI# 1811304439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811304439 |
| Entity Type | Organization |
| Organization Name | MEMPHIS SPINE AND REHAB CENTER, PLLC |
| Practice Address |
2645 Appling Rd Ste 103 Memphis TN 38133-5088 |
| Mailing Address |
7796 Wolf Trail Cv Ste 1022645 Memphis TN 38138-1782 |
| Practice Telephone | 9017510939 |
| Practice Fax Number | 9017510332 |
| Mailing Telephone | 9017510939 |
| Mailing Fax Number | 9017510332 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | LINDA SUE PETTY (OFFICE MANAGER) |
| Authorized Official Telephone | 9017510939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q009468 | 05 |
| Street Address |
2645 APPLING RD STE 103 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38133-5088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319135 | Tiawanna Latrelle Williams | Physical Therapist | 2645 Appling Rd Ste 103, Memphis, TN 38133-5088 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914285 | Methodist Physician Practice LLC | Clinic/Center | 1211 Union Ave Ste 330, Memphis, TN 38104-6655 | 2020-08-26 |
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1275073801 | Chs Tennessee Medical PC | Clinic/Center | 5106 Tradeport Dr, Memphis, TN 38141-8235 | 2017-03-01 |
| 1780073270 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3140 Tchulahoma Rd, Suite 1-4, Memphis, TN 38118-2722 | 2015-01-21 |
| 1518143692 | University of Memphis | Clinic/Center | 119 Patterson Hall, Main Office, Memphis, TN 38152-3510 | 2008-01-18 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| 1154793727 | Your Community Health & Wellness | Clinic/Center | 1087 Alice Ave, Memphis, TN 38106-6543 | 2015-10-22 |
| 1700276169 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2015-01-23 |
| 1831320076 | Memphis Tr Centers, Pllc | Clinic/Center | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2009-08-06 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.